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Choose a Signup Method

We need some information from you in order to grant you a MyChart account. Once submitted, it could take up a week for processing and verification. Once approved, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact your clinic.

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We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact your clinic.

<p><span class="bold">What is a medical record number?</span></p><p>This is the number assigned to you when you registered in the clinic. This number helps staff in the clinics to quickly identify your medical record. If you do not know your medical record number, you may call the registration desk. </p>

Error: Medical record number is required.

Date of birth

MM/DD/YYYY

Error: Date of birth is required.

Error: Date of birth is invalid.

Error: Date of birth cannot be a future date.

Last four digits of SSN

NNNN

Error: Last four digits of Social Security number is required.

Error: Last four digits of Social Security number entered does not have the correct length.